Individual
BASSAM MATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1273 BURNS DR, TROY, MI 48083-6317
(248) 761-7703
(586) 601-2560
Mailing address
1273 BURNS DR, TROY, MI 48083-6317
(248) 761-7703
(586) 601-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301081662
MI
Other
Enumeration date
05/11/2006
Last updated
07/25/2022
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